Critical Diagnostic Thinking in Respiratory Care - 1st Edition - ISBN: 9780721685489, 9781416067948

Critical Diagnostic Thinking in Respiratory Care

1st Edition

A Case-Based Approach

Authors: James Stoller Eric Bakow David Longworth
eBook ISBN: 9781416067948
Imprint: Saunders
Published Date: 15th October 2001
Page Count: 255

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This case-based approach to decision-making in respiratory care offers a thorough introduction to the processes involved in developing critical diagnostic thinking, followed by realistic scenarios that allow readers to put critical thinking skills into practice. Readers learn how to use information from the patient's history and physical examination to arrive at a differential diagnosis. The book presents cases typical of outpatient, inpatient non-ICU, and ICU clinical settings. Each chapter begins with a clinical vignette that poses an important respiratory problem, accompanied by a description of the patient's history and physical examination, and reviews the common and uncommon causes of the patient's symptoms. Using specific features of the patient's history and physical examination, the reader must analyze the likelihood of a specific cause of the symptom. Critical Diagnostic Thinking in Respiratory Care lays the foundation for clinical practice, taking the reader beyond theory and into the real world of patient care.

Table of Contents

Section I: Background

  • An Introduction to Critical Diagnostic Thinking
Section II: Common Presentations in the Outpatient Setting
  • Chronic Cough
  • Recurrent Episodes of Purulent Phlegm
  • Progressive External Dyspnea
  • Progressive External Dyspnea in a 65 Year Old Man {tentative}
  • Fatigue Associated With Daytime Sleepiness
  • Solitary Pulmonary Nodule
  • Hemoptysis
  • Digital Clubbing
  • Bilateral Pleural Effusions
  • Unilateral Right-Sided Pleural Effusions
  • Platypnea
  • Chronic Hypercapnea
  • Community Acquired Pneumonia
  • Pleuritic Chest Pain
  • Non-Pleuritic Chest Pain
  • Upper Lobe Infiltrate
  • Wheezing
  • Stridor
  • Cavitary Pulmonary Infiltrate
  • Bilateral Hilar Adenopathy
Section III: Common Problems in the Non-ICU Adult Inpatient
  • Fever and a Pulmonary Infiltrate
  • Hypoxia
  • Hypercapnic Respiratory Failure
  • Atlectasis
  • Preoperative Evaluation
  • The Difficult-to-Wean Patient
  • The Weak Patient
  • Ventilatory Dys-synchrony
  • Hypotension with Mechanical Ventilation
  • Immediate Reintubation
  • Subcutaneous Emphysema
  • Bubbling Chest Tube
  • Refractory Hypoxemia
  • High Peak Airway Pressures
  • Ventilator-Associated Pneumonia


No. of pages:
© Saunders 2002
15th October 2001
eBook ISBN:

About the Author

James Stoller

James K. Stoller, MD, MS


Jean Wall Bennett Professor of Medicine, Cleveland Clinic Lerner College of Medicine

Chair, Education Institute

Head, Cleveland Clinic Respiratory Therapy

Desk NA 22

Cleveland Clinic

9500 Euclid Ave.

Cleveland, OH 44195

Office: (216) 444-1960

Fax: (216) 445-8160


Affiliations and Expertise

Professor of Medicine, Cleveland Clinic Lerner College of Medicine; Vice Chairman of Medicine, Executive Director, Leadership Development, and Head, Section of Respiratory Therapy, Department of Pulmonary, Allergy and Critical Care Medicine, The Cleveland Clinic, Cleveland, OH

Eric Bakow

Affiliations and Expertise

Process Improvement Specialist, Institute for Performance Improvement, University of Pittsburgh Medical Center, Pittsburgh, PA

David Longworth

Affiliations and Expertise

Chairman, Department of Infectious Diseases, The Cleveland Clinic Foundation, Cleveland, OH